DR. JOHANNA SUZANNE PETERSON (NPI# 1134481831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134481831 |
| Entity Type | Individual |
| Full Name | DR. JOHANNA SUZANNE PETERSON |
| Credential | MD |
| Practice Address |
3901 Rainbow Blvd. 6040 Delp, Ms1020 Division of General and Geriatric Medicine, University Kansas City KS 66160-0001 |
| Mailing Address |
3901 Rainbow Blvd. 4070 Delp, Ms 4017 Kanssas University Physicians, Inc. Kansas City KS 66160-0001 |
| Practice Telephone | 9135886005 |
| Practice Fax Number | 9135883877 |
| Mailing Telephone | (913) 588-2501 |
| Mailing Fax Number | 9135880593 |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 9407884 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861625766 | Johanna Peterson | Case Manager/Care Coordinator | 1900 10th St, Alamogordo, NM 88310-5053 | 2009-08-26 |
| 1396934238 | Johanna Rae Peterson | Physician Assistant | 400 Hickory St Nw Ste 303, Albany, OR 97321-1700 | 2007-10-16 |
| Street Address |
3901 RAINBOW BLVD. 6040 DELP, MS1020 DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992076624 | Audrey Gottlieb Kunin | Dermatology | 1901 Mcgee St, Kansas City, MO 64108-1827 | 2012-01-26 |
| 1255643490 | Wenfei Xie | Dermatology | 5810 Nw Barry Rd Ste 100, Kansas City, MO 64154-1400 | 2010-07-03 |
| 1639494198 | Anand Rajpara | Dermatology | 3901 Rainbow Blvd # Ms 2025, Kansas City, KS 66160 | 2010-03-28 |
| 1578792776 | Tracy Michelle Katz | Dermatology | Ms 2025 4009 Wescoe, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 | 2009-07-08 |
| 1275734022 | Christopher Robert Rouse | Dermatology | 6352 N Cosby Ave, Kansas City, MO 64151-2344 | 2007-05-30 |
| 1194938118 | Meggan R Newland | Dermatology | 4400 Broadway Blvd Ste 400, Kansas City, MO 64111-3342 | 2007-05-07 |
| 1679791909 | Deede Y Liu | Dermatology | University of Kansas Med Ctr 3901 Rainbow Blvd, Ms 2025 Division of Dermatology, Kansas City, KS 66160-0001 | 2007-04-23 |
| 1922192848 | Kanza Multispecialty Group Pa | Dermatology | 1428 S 32nd St, Upper Level, Kansas City, KS 66106-2106 | 2006-10-03 |
| 1679586366 | Lisa Waxman | Dermatology | 10940 Parallel Pkwy, Suite M, Kansas City, KS 66109-4434 | 2006-08-14 |
| 1679550974 | Kimberly Renee Schoofs | Dermatology | 5810 Nw Barry Rd, Ste 100, Kansas City, MO 64154-1493 | 2005-12-28 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.